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NPI Code Detail

MEDICARE: NANCY RAFANAN JUGO ASW

MEDICARE: NANCY RAFANAN JUGO ASW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker111345CA

General Provider Information

NPI Number : 1033984794
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY RAFANAN JUGO ASW
Provider Business Mailing Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 760-975-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2023
Last Update Date : 02/04/2026

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Directions to “ NANCY RAFANAN JUGO ASW” Practice Location

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